Individual
JEFFREY L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 WARNER DR, LEWISTON, ID 83501-4437
(208) 798-8500
(208) 798-8530
Mailing address
325 WARNER DR, LEWISTON, ID 83501-4437
(208) 798-8500
(208) 798-8530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-9259
ID
207R00000X
Internal Medicine Physician
MD00034232
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806974300
—
ID
05
—
8289035
—
WA
Enumeration date
07/07/2006
Last updated
11/05/2014
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